Active NPI 1932342524 Individual Practitioner Female Practitioner

Dr. Rashmi Bawa , MD

Surgery • Caribou, ME

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Rashmi Bawa, MD is a registered Surgery practitioner in Caribou, ME. With approximately 29 years of clinical practice since completing medical education in 1997, Dr. Bawa provides healthcare services at the registered practice location at 163 VAN BUREN RD STE 1.

Dr. Bawa is affiliated with Pines Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

163 Van Buren Rd Ste 1

Caribou, ME 047363567

Telephone 2074982448

Fax 2074982483

Associated Practice Facility / Clinic

🏢 Pines Health Services Facility NPI 1942277819

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Caribou, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +0.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Caribou, ME (246 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bawa (29 Years) 29 Yrs

Caribou Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	65	$139.00	$83.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	42	$586.00	$87.00
45380 Biopsy of large bowel using an endoscope	34	34	$678.00	$162.99
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$130.00	$66.95
45378 Diagnostic exam of large bowel using a flexible endoscope	17	16	$526.00	$153.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$170.00	$103.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$198.00	$118.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$213.00	$121.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	47	$139.00	$84.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$586.00	$94.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$198.00	$119.58
45380 Biopsy of large bowel using an endoscope	18	18	$678.00	$175.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$213.00	$122.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	78	$129.81	$86.87
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$130.00	$69.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	47	$82.65	$53.88
45380 Biopsy of large bowel using an endoscope	49	48	$655.59	$159.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$170.00	$106.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$565.16	$106.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$190.93	$122.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	123	$112.00	$87.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	103	$80.00	$53.70
99202 New patient office or other outpatient visit, typically 20 minutes	119	119	$130.00	$69.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	53	53	$520.00	$92.58
45380 Biopsy of large bowel using an endoscope	47	47	$617.00	$175.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$107.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	257	172	$112.00	$71.95
99202 New patient office or other outpatient visit, typically 20 minutes	110	110	$130.00	$73.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	67	$165.00	$104.58
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	71	69	$520.00	$107.66
45380 Biopsy of large bowel using an endoscope	49	49	$617.00	$181.15
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$2100.00	$314.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$213.00	$135.17
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$483.00	$171.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$103.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	336	243	$114.98	$71.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	123	$165.00	$104.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$170.00	$103.06
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$130.00	$72.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	83	83	$520.00	$111.96
45380 Biopsy of large bowel using an endoscope	61	61	$617.00	$175.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	12	$113.00	$70.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$80.00	$42.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$213.00	$132.97
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$483.00	$183.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$650.00	$253.50
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$530.00	$183.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	290	222	$112.00	$68.55
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$130.00	$71.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	89	$165.00	$102.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	72	69	$520.00	$110.34
45380 Biopsy of large bowel using an endoscope	49	49	$617.00	$155.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$170.00	$102.55
45378 Diagnostic exam of large bowel using a flexible endoscope	27	27	$483.00	$172.56
94760 Measurement of oxygen saturation in blood using ear or finger device	19	16	$20.00	$2.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$650.00	$251.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$316.00	$195.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$79.44	$41.51
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$530.00	$181.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	61	$110.00	$66.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	48	$363.27	$106.41
45380 Biopsy of large bowel using an endoscope	38	38	$520.00	$154.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	23	$80.00	$41.07
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$130.00	$70.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$150.00	$99.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$297.00	$194.37
94760 Measurement of oxygen saturation in blood using ear or finger device	18	14	$20.00	$2.83
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$70.00	$41.52
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$470.00	$171.11
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$530.00	$173.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$170.00	$101.77
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$650.00	$250.24

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ME MD20780

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Obstetrics & Gynecology - Gynecologic Oncology

NUCC Taxonomy Code: 207VX0201X

State License ME MD20780

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh Provider Id No.

12723801

Commercial Insurance / Payer ID Ecfmg No.

0-689-137-8

Hospital & Practice Group Affiliations

Pines Health Services

163 Van Buren Rd, Caribou, ME 047363567

Phone: 2074986921

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Michelle Deprey , NP-C

Nurse Practitioner - Family

NPI 1154813384

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 17, 2019

Registered at 163 VAN BUREN RD STE 1, CARIBOU, ME 047363567 (Tel: 2074982448)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2019

Obstetrics & Gynecology (License #MD20780 in ME)

✅

NPI Profile Active May 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 12, 2016

Registered at 163 VAN BUREN RD, CARIBOU, ME 047363567 (Tel: 2074982448)

📍

Updated Business Mailing Address May 12, 2016

Registered at PO BOX 40, CARIBOU, ME 047360040 (Tel: 2074982448)

👤

Provider Name / Credentials Updated May 12, 2016

Recorded as RASHMI BAWA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2016

Surgery (License #MD20780 in ME)

🟢

Initial NPI Registration & Enumeration April 12, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1932342524

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2009

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 40

Caribou, ME 047360040

Phone: 2074982448

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.